# BLACKWOOD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLACKWOOD PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497853428
- **Authorized official:** BONNIE SEELY RPH (OWNER)
- **Authorized official phone:** (617) 471-3300

## Contact information

- **Practice address:** 181 PARKINGWAY, QUINCY, MA 02169-5011
- **Practice address phone:** (617) 471-3300
- **Practice address fax:** (617) 471-4425
- **Mailing address:** 181 PARKINGWAY, QUINCY, MA 02169-5011
- **Mailing address phone:** (617) 471-3300
- **Mailing address fax:** (617) 471-4425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 3345 | MA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0406643 | — | MA |
| 05 | — | 0435376 | — | MA |
| 01 | — | 2228321 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |